MICHAEL J RANGE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005988

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

RANGE

Business Name

MICHAEL J RANGE

Original Issue Date

10/19/2001

Effective Date

11/03/2003

Expiration Date

11/30/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005